Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: | CIMRO IS A NONPROFIT PEER REVIEW ORGANIZATION. THE PURPOSE OF THE CORPORATION IS TO ASSURE EFFICIENT AND ECONOMICAL DELIVERY OF MEDICALLY NECESSARY, QUALITY HEALTH CARE FOR PATIENTS IN THE STATE OF ILLINOIS AND OTHER STATES OR TERRITORIES WHERE THE CORPORATION PERFORMS ITS MEDICAL REVIEW SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS |
| FORM 990, PART VI, SECTION B, LINE 11 | FINANCE COMMITTEE REVIEWS A DRAFT OF THE FORM 990 PLUS A DRAFT OF THE AUDITED FINANCIAL STATEMENTS PRIOR TO FINALIZING EITHER DOCUMENT AND HAS THE OPPORTUNITY TO ASK QUESTIONS OF THE FIRM PREPARING THE DOCUMENTS. THE FULL BOARD OF DIRECTORS RECEIVE COPIES OF BOTH FORM 990 (BEFORE IT IS FILED) AND THE AUDITED FINANCIAL STATEMENTS AT ITS NEXT MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL EMPLOYEES AND BOD MEMBERS RECEIVE AN ANNUAL REMINDER CONCERNING THE COI POLICY INDICATING THE CERTIFICATION AND ACCEPTANCE STATEMENT PREVIOUSLY SIGNED REMAINS IN FULL FORCE AND EFFECT. ADDITIONALLY, ON AN ANNUAL BASIS ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO COMPLETE THE ORGANIZATIONAL COI AND DISCLOSURE OF AFFILIATIONS FORM WHICH NOTES THE RESPONSIBILITY TO PROVIDE NOTICE OF ANY CHANGES TO THE DISCLOSURE AND REQUIRES STAFF TO DISCLOSE ANY OUTSIDE EMPLOYMENT. ALSO, SHOULD AN EMPLOYEE CHANGE EXTERNAL POSITIONS AT ANY TIME DURING THE YEAR, THE EMPLOYEE MUST NOTIFY THEIR SUPERVISOR OF SUCH CHANGE ON A TIMELY BASIS TO ASSURE THAT NO COI HAS BEEN CREATED. A COI FORM MUST BE COMPLETED AND APPROVED BY THE SUPERVISOR AND CEO FOR EACH CHANGE IN EXTERNAL EMPLOYMENT. THE CEO OR COMPLIANCE COMMITTEE DESIGNEE REVIEW ALL COI FORMS AND IDENTIFY POTENTIAL OR KNOWN CONFLICTS. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE CEO OR DESIGNEE WILL DETERMINE ANY NEEDED STEPS TO ADDRESS THE CONFLICT. THE POTENTIAL COI IS DISCUSSED WITH THE INDIVIDUAL WHO HAS IDENTIFIED A POTENTIAL CONFLICT. THE DISCUSSION IS DOCUMENTED ON THE FORM, AND IS RETURNED TO THE INDIVIDUAL WITH A MEMO NOTING THE DISCUSSION. |
| FORM 990, PART VI, SECTION B, LINE 15 | IN DETERMINING THE COMPENSATION FOR THE CEO, THE ORGANIZATION USES COMPARABILITY DATA FROM COMPDATA SURVEYS, SALARY.COM, VARIOUS BITS OF PUBLISHED COMPENSATION DATA, BUT PRIMARILY OTHER SIMILAR BUSINESS ENTITY'S FORM 990. THE CIMRO-NE AND GPQIN BOARD ALSO PROVIDES FEEDBACK TO THE CIMRO BOARD CONCERNING THE CEO'S PERFORMANCE AS IT RELATES TO CIMRO-NE AND GPQIN. FURTHERMORE, THE FINANCE COMMITTEE CONDUCTS ITS EVALUATION OF PERFORMANCE AND REVIEWS DATA AND MAKES A RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD PROVIDES THE FINAL AUTHORIZATION FOR ANY COMPENSATION ADJUSTMENTS FOR THE CEO AND WRITTEN DOCUMENTATION IS MAINTAINED IN THE PERSONNEL FILE TO DOCUMENT THE CHANGE IN RATE. COMPENSATION FOR THE BOARD OF DIRECTORS IS DETERMINED PRIMARILY USING COMPARABILITY DATA OBTAINED FROM REVIEW OF FORM 990'S FOR SIMILAR BUSINESS ENTITIES. FOR THE CFO, COMPARABILITY DATA FROM COMPDATA SURVEYS, SALARY.COM, VARIOUS BITS OF PUBLISHED COMPENSATION DATA, BUT PRIMARILY OTHER SIMILAR BUSINESS ENTITY'S FORM 990 ARE USED TO DETERMINE APPROPRIATE COMPENSATION LEVELS. THE CIMRO-NE AND GPQIN BOARDS ALSO PROVIDE FEEDBACK TO THE CIMRO BOARD CONCERNING THE PERFORMANCE OF THE CFO AS IT RELATES TO CIMRO-NE AND GPQIN. THE CEO PROVIDES THE FINANCE COMMITTEE WITH AN EVALUATION OF THE CFO'S PERFORMANCE AND A RECOMMENDATION ON SALARY ADJUSTMENT. THE FINANCE COMMITTEE IS CHARGED WITH AUTHORITY TO MAKE SALARY ADJUSTMENTS FOR THE CFO. THIS INFORMATION IS PROVIDED TO THE FULL BOARD FOR REVIEW. WRITTEN DOCUMENTATION IS MAINTAINED IN PERSONNEL FILES TO DOCUMENT ANY CHANGES IN SALARY. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS FORMS 1024 AND 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIANS, MEDICAL, AND IT CONSULTING 316,596. |
| FORM 990, PART XII, LINE 2C AUDIT COMMITTEE OVERSIGHT | NO CHANGES WERE MADE FROM THE PRIOR YEAR. |
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